Basic Information
| Provider Information | |||||||||
| NPI: | 1811583040 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIMPSON | ||||||||
| FirstName: | YVETTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6000 LAMAR AVE STE 130 | ||||||||
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| City: | MISSION | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662023299 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1125 W SPRUCE ST | ||||||||
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| City: | OLATHE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660613123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9138264200 | ||||||||
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| ProviderEnumerationDate: | 12/11/2020 | ||||||||
| LastUpdateDate: | 12/11/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 79383 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.